Individual
MATENNEH ABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7248 ELMWOOD AVE, PHILADELPHIA, PA 19142-1533
(267) 292-2647
(267) 292-2657
Mailing address
7248 ELMWOOD AVE, PHILA, PA 19142-1533
(267) 292-2647
(267) 292-2657
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN515514L
PA
163WS0200X
School Registered Nurse
L10025660
DE
Other
Enumeration date
02/16/2007
Last updated
06/10/2011
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